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ASHA SLPA CERTIFICATION EXAM STUDY GUIDE - PART 3, FINAL ASSESMENT TEST WITH ALL NEEDE
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ASHA SLPA CERTIFICATION EXAM STUDY GUIDE - PART 3, FINAL ASSESMENT TEST WITH ALL NEEDE
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ASHA SLPA CERTIFICATION EXAMSTUDY GUIDE - PART 3, FINAL
ASSESMENT TEST WITH ALL NEEDED
TO PASS
ThebMedicaidbProgrambisb-bcorrectbanswer-
jointlybfundedbbybthebfederalbandbstatebgovernmentsbtobassistbstatesbinbprovidingbm
edicalbcarebtoblow-
incomebindividualsbandbthosebwhobarebcategorizedbasbmedicallybneedy.
Eachbstatebadministersbitsbownbmedicaidbprogrambandbestablishesbitsbownbincomeb
eligibilitybstandards;b-bcorrectbanswer-
type,bamount,bduration,bandbscopebofbservicesbcovered,bandbpaymentbrates.
Forbservicesbtobbebconsideredbmedicallybnecessary,btheybmustb-bcorrectbanswer-
bebreasonablebandbnecessarybforbthebtreatmentbofbillness,binjury,bdisease,bdisability,
borbdevelopmentalbcondition.
Medicalbnecessitybisb-bcorrectbanswer-
abcriticalbfactorbforbdeterminingbeligibilitybforbMedicaid-
reimbursablebtherapybandbtreatmentbservices.
Medicaidbclaimsbmaybbebsupportedbwhenbprovidersbdocumentbthebfollowingbbasicbe
lements:b-bcorrectbanswer--bReasonable
-bNecessary
-bSpecific
,-bEffective
-bSkilled
Reasonable:b-bcorrectbanswer-
Appropriatebamount,bfrequency,bandbdurationbofbtreatmentbinbaccordancebwithbstan
dardsbofbpractice
Necessary:b-bcorrectbanswer-
Appropriatebtreatmentbforbthebpatient'sbdiagnosisbandbcondition
Specific:b-bcorrectbanswer-Treatmentbtargetedbtobparticularbgoals
Effective:b-bcorrectbanswer-
Treatmentbexpectedbtobyieldbimprovementbwithinbabreasonablebamountbofbtime
Skilled:b-bcorrectbanswer-
Treatmentbrequiringbthebknowledge,bskills,bandbjudgementbofbabspeech-
languagebpathologistb(SLP)borbaudiologist
Audiologybandbspeech-
languagebpathologybservicesbarebmedicallybnecessarybtobtreatb-bcorrectbanswer-
speech-language,bhearing,bbalance,bswallowing,bvoice,bfluency,bandbcognitive-
communicationbdisorders.
Childrenbwhobrequirebservicesbasbpartbofbtheirbindividualizedbeducationbprogramsb(I
EPs)bandbarebidentifiedbasbhavingbabdisabilitybunderbthebIndividualsbwithbDisabilities
bEducationbActb(IDEA)bareb-bcorrectbanswer-
alsobgenerallybconsideredbtobhavebmetbthebrequirementsbforbservicesbtobbebmedicall
ybnecessary.
Althoughbeachbstatebestablishedbabstatebplan,bincludingbspecificbrequirements,brelev
antbdocumentationbforbestablishingbmedicalbnecessitybmaybinclude:b-
bcorrectbanswer--
bmedicalbhistory,bsuchbasbpertinentbmedicalbhistory,bbriefbdescriptionbofbfunctionalbst
atus,bandbrelevantbpriorbtreatment;
-bdiagnosedbspeech,blanguage,bswallowing,bhearing,borbbalancebdisorder;b
-
bidentificationbofbabchildbwithbabdisabilitybasbeligiblebforbservicesbunderbthebIndividual
sbwithbDisabilitiesbEducationbActb(IDEA)borbdeterminationbbybanbIEPbteambthatbservi
cesbarebrequired;
-bdatebofbonset;
-bphysicianbreferral,bifbrequiredb(reauthorizationbmaybbebrequired);
-binitialbassessmentbandbdateb-
bthebprocedure(s)busedbbybthebaudiologistborbSLPbtobdiagnosebabspeech,blanguage,
bvoice,bfluency,bcognitive-
communication,bswallowing,bhearing,borbbalancebdisorderbandbthebdatebthebinitialbas
sessmentbisbcompleted;b
-bplanbofbtreatmentborbabtreatmentbprogrambandbdatebestablished;band
-bprogressbnotesband/orbreports
, Professionalsbmaybworkbwithbtheirbstatebassociationbleadership,blocalbeducationbage
ncies,bstatebeducationbagencies,bandbstatebMedicaidbofficesbtobaddressbspecificbtopi
csborbquestions.bSuccessfulbeffortsbtobimprovebefficiencybforbprofessionalsbinbsomeb
statesbinclude:b-bcorrectbanswer--bstreamliningbpaperwork;
-
bestablishingbevaluationborbIEPbbybabqualifiedbprofessionalbasbadequatebtobestablish
bmedicalbnecessitybandbeliminatingbneedbforbphysicianbsignature
-bexpeditingbphysicianbreferralbandbexaminationbprocess;
-bclarifyingbmedicalbnecessitybcriteriabandbdocumentationbrequirements;
-bupdatingbstatesbpolicybandbprocedurebinformation
-badvocatingbforbservicesbnotbcoveredb(i.e.,bprivatebpracticebandbtelepractice)
Ab"speechbpathologist"bisbanbindividualbwhobmeetsbonebofbthebfollowingbconditions:b
-bcorrectbanswer-
i.bHasbabcertificatebofbclinicalbcompetencebfrombthebAmericanbSpeechbandbHearingb
Association
ii.bHasbcompletedbthebequivalentbeducationalbrequirementsbandbworkbexperiencebne
cessarybforbthebcertificate
iii.bHasbcompletedbthebacademicbprogrambandbisbacquiringbsupervisedbworkbexperie
ncebtobqualifybforbthebcertificate
Ab"qualifiedbaudiologist"bmeansbanbindividualbwithbabmaster'sborbdoctoralbdegreebinb
audiologybthatbmaintainsbdocumentationbtobdemonstratebthatbheborbshebmeetsboneb
ofbthebfollowingbconditions:b-bcorrectbanswer-
i.bThebStatebinbwhichbthebindividualbfurnishesbaudiologybservicesbmeetsborbexceeds
bStateblicensurebrequirementsbinbparagraph,bandbthebindividualbisblicensedbbybthebS
tatebasbanbaudiologistbtobfurnishbaudiologybservices.
ii.bHavebabCertificatebofbClinicalbCompetencebinbAudiologybgrantedbbybthebAmerican
bSpeech-Language-HearingbAssociation.
A.bHavebsuccessfullybcompletedbabminimumbofb350bclock-
hoursbofbsupervisedbclinicalbpracticumb(orbisbinbthebprocessbofbaccumulatingbthatbsu
pervisedbclinicalbexperiencebunderbthebsupervisionbofbabqualifiedbmasterborbdoctoral
-levelbaudiologist);bperformedbatbleastb9bmonthsbofbfull-
timebaudiologybservicesbunderbthebsupervisionbofbabqualifiedbmasterborbdoctoralbdeg
reebinbaudiology,borbabrelatedbfield;bandbsuccessfullybcompletedbabnationalbexamina
tionbinbaudiologybapprovedbbybthebSecretary.
TherebarebfivebconditionsbthatbmustbbebmetbforbMedicaidbtobreimbursebforbIDEA-
relatedbservicesb-bcorrectbanswer-
1)bthebchildbreceivingbthebservicebmustbbebenrolledbinbMedicaid
2)bthebservicesbarebmedicallybnecessary
3)bthebservicesbmustbbebcoveredbinbthebstatebMedicaidbplanborbauthorizedbbybthebfe
deralbMedicaidbstatue
4)bthebservicesbmustbbeblistedbinbthebchild'sbindividualizedbeducationbprogramb(IEP)
b
5)bthebschoolbdistrictborblocalbeducationalbagencyb(LEA)bmustbbebauthorizedbbybtheb
statebasbabqualifiedbMedicaidbprovider
Medicaidbdoesbnotbpaybforbscreeningbservicesbthatbareb-bcorrectbanswer-
providedbfreebofbchargebtobnon-medicaidbbeneficiariesbinbschools.
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